Investigate all non standard claim problems (25%) Investigates for COB and determine the primary payer (25%) Investigate and process adjustment requests (25%) Adjust claim payments resulting from duplicate payments, incorrect payee, etc. Recover expended funds for managed care plans System documentation of investigation results Training of Coordination of Benefits claim p

NO WEEKENDS & NO LATE NIGHTS

NO WEEKENDS & NO LATE NIGHTS

NO WEEKENDS & NO LATE NIGHTS

Lumicera Health Services Powered by Navitus Innovative Specialty Pharmacy Solutions Lumicera Health Services is defining the "new norm" in specialty pharmacy to optimize patient well being through our core principles of transparency and stewardship. Here at Lumicera, our team members work in an environment that celebrates creativity and fosters diversity. We are unable to

Standard Forwarding, a DHL Freight US company, is a top quality LTL carrier with 14 terminals spread throughout the Midwest. We provide overnight service within and between Illinois, Iowa, Wisconsin, Indiana and Minnesota. We are seeking an experienced Operations Supervisor/Dispatcher who will be responsible for the supervision and execution of the inbound dock operation,

Putting People First in Pharmacy Navitus was founded as an alternative to traditional pharmacy benefit manager (PBM) models. We are committed to removing cost from the drug supply chain to make medications more affordable for the people who need them. At Navitus, our team members work in an environment that celebrates diversity, fosters creativity and encourages growth. W

Title/PD# Contract Specialist/ PD44151A Relocation/Recruitment Incentives Not Authorized Permanent Change of Station (PCS) Not Authorized Financial Disclosure Report Required Certification Requirements Must meet all requirements to receive and maintain an FAC C Professional Certification. Physical Demands Work is primarily of an administrative nature in an office setting,

Job Title Senior Accountant Company St. Camillus Health Center Location Wauwatosa, WI Job Standards Bachelor's degree in accounting or a related field or Equivalent Excellent communication and interpersonal skills 5+ years of experience in an accounting role in a healthcare setting Extreme accuracy and attention to detail Ability to maintain and safeguard confidential

Putting People First in Pharmacy Navitus was founded as an alternative to traditional pharmacy benefit manager (PBM) models. We are committed to removing cost from the drug supply chain to make medications more affordable for the people who need them. At Navitus, our team members work in an environment that celebrates diversity, fosters creativity and encourages growth. W

Serves as A Subject Matter Expert (SME) with regards to the Specialty billing processes and the respective Patient Financial Services Specialty role, maintaining an advanced knowledge of payor updates including Federal and State guidelines, department workflows and resources needed to resolve payor rejections and troubleshoot identified denial trends. Knowledgeable in the

Serves as A Subject Matter Expert (SME) with regards to the insurance follow up processes and the respective Patient Financial Services Follow up role, maintaining an advanced knowledge of payor updates including Federal and State guidelines, department workflows and resources needed to resolve payor rejections and troubleshoot identified denial trends. Knowledgeable in t

Rogers Behavioral Health in Madison is excited to announce an opening for a clinic assistant to be the face of our Outpatient Clinic! Greet patients/families and vendors, assist our Therapists with charting/scanning. Maintain the billing/daily census accuracy, check in patients, answer phones. Provide clerical support during the admission process and be the glue to support

Act as a liaison for internal monitoring, reporting, and communicating Accuity turn around times that directly impact client final billing, including processing data and sharing with the RCA team Reviewing DNFB reports and deciphering activities that may have taken place within the DNFB report, providing analytical feedback Working efficiently and in a timely manager to s

Claims Specialist Administration 1265 John Q. Hammons Drive, 1265 John Q. Hammons Dr. , Madison, Wisconsin, United States of America Req #1830 Wednesday, April 24, 2024 Group Health Cooperative of South Central Wisconsin. BETTER TOGETHER The Claims Specialist ensures the accurate entry of inpatient and outpatient claims per the data entry guidelines, and ensures the timel